Organization
UNITY PLACE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FISH (OWNER)
(732) 814-6900
Entity
Organization
Contact information
Practice address
121 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-1871
(609) 704-1313
Mailing address
1500 PINE PARK AVE, LAKEWOOD, NJ 08701-1570
(609) 704-1313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
72701-01-05
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7195508
—
NJ
Enumeration date
01/10/2007
Last updated
08/22/2020
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